Organization
AUSTIN PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK ALLAN LOUIS M.D. (OWNER)
(512) 458-6717
Entity
Organization
Contact information
Practice address
711 W 38TH ST, C-2, AUSTIN, TX 78705-1121
(512) 458-6717
(512) 458-1629
Mailing address
711 W 38TH ST, C-2, AUSTIN, TX 78705-1121
(512) 458-6717
(512) 458-1629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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